Rosacea Treatment Guide

Rosacea can be largely divided into two types: telangiectatic rosacea and reactive flushing.

Telangiectatic rosacea is characterized by the visible appearance of thin capillaries to the naked eye.

In cases where such clear capillaries are clearly observed, vascular laser treatments such as Vbeam or Excel V,

can be primarily considered.

In such cases, treatment that directly coagulates the dilated blood vessels with heat for improvement is necessary.

However, it should be considered that there is a possibility of rosacea reappearing within 3 to 6 months with only this treatment.

Therefore, after vascular removal, additional management to reduce the skin's hypersensitivity itself must be performed concurrently.

Reactive flushing is characterized by 'flushing' symptoms where the face suddenly turns red due to specific stimuli.

This indicates an abnormally heightened reactivity of the blood vessels, rather than the vessels themselves being permanently dilated.

For such reactive flushing, the effectiveness of vascular laser treatment may be limited, or the redness may even worsen due to skin irritation.

In such cases, Needle RF (Radiofrequency Microneedling) treatments such as Secret or Potenza can be beneficial.

The primary mechanisms by which Needle RF treatment alleviates rosacea symptoms can be explained as follows:

1. Promote Dermal Regeneration

Contributes to fundamental structural improvement of the skin

Needle RF delivers high-frequency energy directly to the dermis through micro-needles, activating fibroblasts.

This can regenerate components of the extracellular matrix (ECM) such as collagen, elastin, and hyaluronic acid.

This contributes to increasing the density and elasticity of the dermal layer,

As a result, superficial blood vessels may become less sensitive to external stimuli and appear less prominent on the skin surface.

In other words, as the dermal layer becomes firmer, it can help reduce vascular hypersensitivity.

2. Regulation of Vascular Motility

Improvement of hypersensitive vascular reactivity

A key characteristic of reactive flushing is the tendency for blood vessels to dilate too easily beyond what is necessary.

Needle RF contributes to stabilizing the smooth muscles of the vascular walls by applying repeated thermal stimulation. Furthermore, it helps regulate the hypersensitive

autonomic nervous system signaling, which can gradually alleviate excessive flushing (sudden redness) symptoms.

3. Suppression of Inflammatory Response

Alleviation of chronic inflammation within the skin

In skin experiencing chronic rosacea, inflammatory cytokines such as IL-1β, TNF-α, and VEGF tend to be excessively secreted.

This can dilate blood vessels,

stimulate melanin production,

and consequently cause persistent redness.

Needle RF delivers localized thermal energy to the dermis, suppressing the secretion of these inflammatory mediators, and thus offers an anti-inflammatory effect that can stabilize chronic inflammatory rosacea.

4. Stabilization of Sebaceous Gland Function

Reduction of heat sensation and redness through sebaceous secretion regulation

Excessive sebum secretion raises skin temperature, which in turn causes blood vessels to dilate more easily, exacerbating rosacea symptoms.

Needle RF treatment delivers thermal energy to the dermal layer around the sebaceous glands, contributing to the regulation of sebum secretion. Especially in cases of rosacea accompanied by oily skin, an improvement in both heat sensation and burning can be expected.

5. Regulation of Neurological Hypersensitivity

Reduction of redness-inducing neurotransmitters

When skin is exposed to stimuli, vasodilatory neuropeptides such as Substance P and CGRP are secreted from sensory nerve endings. These substances can induce vasodilation, leading to symptoms such as redness, heat sensation, and burning.

Repeated Needle RF treatments can reduce the hypersensitivity of these nerve endings, helping to mitigate excessive redness.

Facial flushing, which makes the skin appear red, is not merely a superficial phenomenon.

Underlying this, various factors can be at play, including a thinned dermal layer, overreactive nervous system responses, persistent inflammatory reactions, and sebaceous gland issues.

Treatments like Excel V, Vbeam lasers, and Secret, Potenza Needle RF,

can be utilized to alleviate surface redness and improve the internal skin environment.

When these approaches are balanced, it can help reduce the recurrence of flushing and maintain long-term skin health.

Beyond improving visible symptoms, improving the internal skin environment is a crucial approach in managing flushing.

Genesis Laser

-Micro thermal energy is delivered deep into the skin, which can help stabilize reddened blood vessels.

-It can promote collagen production, aiding in improving skin elasticity and pores.

-Without a separate recovery period, it can help alleviate redness and improve skin texture.

Secret Needle RF

-By delivering thermal energy deep into the skin via micro-needles, it can contribute to improving flushing.

-By strengthening the dermal layer, it can help stabilize blood vessels in the long term.

-It can also positively impact skin barrier improvement and pore reduction, allowing for various beneficial effects.

Recommended for

• 1. Those bothered by patchy redness or flushing on their face.
• 2. Those concerned about rough skin texture along with flushing.
• 3. Those seeking to address the root causes of flushing and expecting continuous management.

Benefits of the Treatment

• 1. With a relatively short treatment time of about 10 minutes, you can expect improvements in flushing.
• 2. Even after the treatment, daily activities can be performed without significant disruption.
• 3. In addition to addressing flushing, this treatment can comprehensively address various skin concerns such as strengthening the skin barrier, improving elasticity, and refining pores.